tag="{http://www.w3.org/1999/xhtml}a">110.—Commissioners’ remarks on these topics, 111.—Rate of maintenance higher in the largest asylums, 112.—Inadequate remuneration of medical superintendents, 113.—Lord Shaftesbury’s advocacy of improved salaries, 113.

  § Limit to be fixed to the size of asylums. Proper number to be accommodated in an asylum, 114, 137, et seq.—Estimate of American physicians, 115.—Estimate of French and German physicians, 116.—Peculiar organization of German asylums, 117, 141.   § Increase of the medical staff of asylums. Opinions of foreign physicians on the subject, 118.—Estimate of the medical staff requisite, 118.—Erroneous views prevalent in some asylums, 119.—Illustration furnished by the Middlesex asylums, 119.—Jacobi’s views of asylum organization, 121.—Advantages of unity in the organization of asylums, 122.—Appointment of a chief physician, paramount in authority, 122.—Circumstances affecting the selection of asylum superintendents, 123.   Chap. VII.—ON THE FUTURE PROVISION FOR THE INSANE. Rapid extension in the demand for accommodation, 125.—Illustrated by reference to the Middlesex asylums, 125.   § Separate asylums for the more recent and for chronic cases. Objections to such separate establishments, 126.—Examination of the value of these objections, 127.—Cases to be transferred from one institution to the other, how determined, 128.—Mixture of recent with chronic cases undesirable, 128, 130.—Examination of the present relative position of acute and chronic cases, 129.—Separate treatment of recent cases desirable, 131.—Influence of distance on the utility of an asylum as a place of treatment, 131.—Borough asylums, 131.—Many chronic cases removable from asylums, 132.—Less expensive buildings needed for chronic cases, 132.—Views of the Lunacy Commissioners on these points, 132.—Evidence of Lord Shaftesbury, 134.—French system of dividing asylums into ‘quarters,’ 135.—Permissive power of Lunacy Act to build distinct asylums for chronic cases, 135.—On the powers of the Home Secretary to control asylum construction, 136.—Amendment of present Act proposed, 136.—On mixed asylums, for recent and chronic cases together, 137.—Conditions under which distinct institutions are desirable, 138.—Advantages of an hospital for recent cases, 138.—Number of inmates proper in such an hospital, 139.—Regulations required in it, 139.—Organization of asylums for chronic cases, 140.—Union of counties for the purpose of constructing joint asylums, 140.   § Construction of distinct sections to asylums. German system of ‘relative connexion’ of asylums for recent and chronic cases, 141.—Proposition of Lunacy Commissioners to place industrial classes of patients in distinct wards, 142.—Advantages of separate sections, 143.—Objections to a purely ‘industrial classification’ of patients, 144.   § Distribution of the chronic insane in cottage homes. Subdivision of asylums for chronic cases, 145.—Illustration of cottage provision for the insane at Gheel, 145.—The system at Gheel impracticable as a whole, 146.—The ‘cottage system’ deserving of trial under proper restrictions, 146.—Suggestions as to the arrangements required, 146.—‘Cottage system’ supplementary to asylums, 147.—Economy of ‘cottage system,’ 147.   § Separate provision for epileptics and idiots. Epileptics need separate provision, 148.—Idiots not fit inmates of lunatic asylums, 148.—Idiots require special asylum provision, 149.—Removal of idiots from workhouses, 150.   Chap. VIII.—REGISTRATION OF LUNATICS. Necessity of registering the insane, 150.—Large number of insane at present unprotected, 151.—Legal advantages of registration, 151.—Desirability of correct statistics of insanity, 152.—Lord Shaftesbury’s evidence on this point, 152.—Registration as a means of discovering the existence and condition of lunatics, 152.—Registration would promote early treatment, 153.—Should be accompanied by visitation, 153.—Enactment necessary to regulate the sending of lunatics abroad, 153.—Practice pursued in Sardinia, 154.—Suggestions offered, 155.—All patients removed uncured from asylums ought to have the place of their removal reported, 155.—Objections raised to registration, 156.—Their validity examined, public@vhost@g@gutenberg@html@files@44320@[email protected]#Page_156"